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  • Title: Thrombosed splenic artery aneurysm simulating a pancreatic body mass: can two entities be distinguished preoperatively thus avoiding diagnostic and therapeutic mistakes?
    Author: Casadei R, Antonacci N, Calculli L, Pezzilli R, Zanini N, Ricci C, Minni F.
    Journal: JOP; 2007 Mar 10; 8(2):235-9. PubMed ID: 17356250.
    Abstract:
    CONTEXT: Splenic artery aneurysms are rare and they are usually easy to diagnose. Spiral computed tomography is the most sensitive diagnostic technique for this disease. Its primary treatment is interventional radiology; surgery is indicated in selected cases. CASE REPORT: We herein report a case of an elderly male patient with a completely thrombosed aneurysm of the splenic artery. The spiral computed tomography and color-Doppler ultrasonography findings were different; the first showed this entity to be a pancreatic solid tumor and the second showed it to be an aneurysmatic thrombosed dilation of the splenic artery. Thus, laparotomy was performed and the proper diagnosis was made. CONCLUSIONS: This case underlines the characteristics of completely thrombosed splenic artery aneurysm with the aim to avoid diagnostic and therapeutic mistakes.
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